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Related Experiment Video

Updated: Apr 9, 2026

Exploring the Role of Deontic Reasoning and World Knowledge in Wason´s Selection Task

Exploring the Role of Deontic Reasoning and World Knowledge in Wason´s Selection Task

Published on: July 22, 2025

The expert-generalist: a contradiction whose time has come.

Joseph J Fins¹

¹J.J. Fins is E. William Davis, Jr., M.D. Professor of Medical Ethics, chief, Division of Medical Ethics, and professor of medicine, medicine in psychiatry, medical ethics in neurology, and health care policy and research, Weill Medical College of Cornell University, New York, New York.

Academic Medicine : Journal of the Association of American Medical Colleges

|June 18, 2015

Summary

This summary is machine-generated.

The proposed expert-generalist model trains primary care physicians in subspecialties to improve cost-effective access to care. This enhances patient experience and quality by optimizing specialist referrals.

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Last Updated: Apr 9, 2026

Exploring the Role of Deontic Reasoning and World Knowledge in Wason´s Selection Task

Exploring the Role of Deontic Reasoning and World Knowledge in Wason´s Selection Task

Published on: July 22, 2025

Area of Science:

Health Policy
Medical Education
Primary Care

Background:

The Affordable Care Act increased insurance coverage, necessitating cost-effective healthcare access.
Current primary care models may face challenges in meeting expanded care demands.
A Canadian model provides a precedent for specialized primary care physicians.

Purpose of the Study:

To propose the creation of expert-generalists to enhance primary care.
To explore a model for improving access to and quality of care.
To address cost-effectiveness in healthcare delivery.

Main Methods:

Conceptual proposal based on an existing Canadian model.
Discussion of additional subspecialty training for primary care physicians.
Consideration of implementation strategies and potential challenges.

Main Results:

Expert-generalists can broaden primary care practice portfolios.
This model can improve patient triage, reducing unnecessary specialist consultations.
Enhanced primary care can improve both patient experience and healthcare economics.

Conclusions:

The expert-generalist model offers a cost-effective solution for expanding healthcare access.
Incremental adoption via demonstration projects is recommended for assessment.
This initiative could positively impact the physician workforce and patient care quality.